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Lillian's Loving Care
3736 Turnpike Road
Portsmouth, VA 23701
(757) 393-9241

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: Dec. 17, 2021

Complaint Related: Yes

Areas Reviewed:
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS
22VAC40-73 BUILDING AND GROUNDS

Comments:
An unannounced complaint inspection was conducted by a licensing inspector and a licensing administrator from the Peninsula Regional Office. The inspection was completed on December 17, 2021 from 8:00am to 9:30am. The facility?s census was 15. The complaint addressed concerns regarding the physical plant. Residents and staff were interviewed. Based on the information obtained during this inspection the allegation was valid. The violations were discussed throughout the inspection and during exit interview.

Please complete your "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to me within 10 calendar days. If you have any questions please contact your inspector.

Violations:
Standard #: 22VAC40-73-40-B-8
Complaint related: No
Description: Based on observation and staff interview, the facility failed to post the current license in an area conspicuous to residents and the public.

Evidence:

The current facility?s license was located in the rear of the facility in the nurse?s station. Staff #2 admitted the framed license was removed from the entrance area due to renovations.

Plan of Correction: The facility will ensure to post the current license in an area conspicuous to residents and the public.

Standard #: 22VAC40-73-610-B
Complaint related: No
Description: Based on observation and interview made on 12/17/21, the facility failed to post a menu for meals and snack for the current week.

Evidence:

The facility posted menu was for the week of 12/5/21 through 12/11/21.

Plan of Correction: The facility will ensure to post a menu for meals and snacks for the current week.

Standard #: 22VAC40-73-750-B
Complaint related: No
Description: Based on observation and an inspection of the facility, the facility failed to ensure that each resident room contained a chair for each resident.

Evidence:

Room #8 had two residents but there were no chairs present.

Plan of Correction: The facility will make ensure that each resident room contains a chair for each resident.

Standard #: 22VAC40-73-860-I
Complaint related: No
Description: Based on observation and interview the facility failed to store cleaning supplies and other hazardous material in a locked area.

Evidence:

During an on-site physical inspection of the facility LI observed 1. A circular saw in unlocked room # 11, 2. A five gallon bucket of paint and paint supplies in the sitting room, 3. A wet-dry vacuum, building supplies, and bed bug spray in room #9.

Plan of Correction: The facility will make sure to store cleaning supplies and other hazardous material in a locked area.

Standard #: 22VAC40-73-870-A
Complaint related: No
Description: Based upon observation and interview, the facility failed to ensure the interior and exterior of the building was maintained in good repair and kept cleaned and free of rubbish.

Evidence:

On 12/17/21, during an inspection of the facility, the following was observed:
1. An inoperable car in the driveway- tags expired as of June 2016; car also had a flat tire;
2. Trash can, mop buckets, and paint roller on the side of the facility;
3. Trash bag in the yard with yard debris;
4. Full size table turned over on front porch;
5. Broken plexiglas on the front porch taped to the railing;
6. Old speaker, hospital tray table, and boards blocking side entrance door;
7. Front porch railing rotted throughout the length of the porch; and
8. Gutters are overflowing with pine needles.

Plan of Correction: The facility will ensue the interior and exterior of the building are in good repair and kept clean and free of rubbish.

Standard #: 22VAC40-73-870-E
Complaint related: No
Description: Based on observation and interviews the facility failed to ensure that all fixtures, sinks, bathtubs, and showers are kept clean and in good repair.

Evidence:

During a physical inspection of the facility with staff # 1, 1. The men?s hallway bathroom was corded and taped off. Staff #1 acknowledged that the bathroom was inoperable because it was being remodeled, however there was evidence that the toilet had been used. 2. The women?s bathroom was observed to have a tub with what appeared to be a cleaning agent sprinkled on the bottom of the tub without being scrubbed or rinsed. 3. Third bathroom had what appeared to be mold around the sink behind the faucet, the flooring near the toilet was cut and peeling, the caulking around the base of the toilet was black, cracking and incorrectly applied, the toilet was peeling, and the molding around the tub was black and rotting.

Plan of Correction: The facility will ensure that all fixtures, sinks, bathtubs, and showers are kept clean and in good repair.

Standard #: 22VAC40-73-925-A
Complaint related: No
Description: Based upon observation, the facility failed to have an adequate supply of toilet tissue and soap.

Evidence:

During a physical inspection there was no soap available in the men?s bathroom or the women?s bathroom.

Plan of Correction: The facility will make sure to have an adequate supply of toilet tissue and soap.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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